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FDA clears first over-the-counter continuous glucose monitor

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Re: FDA clears first over-the-counter continuous glucose monitor

#371
post #359

Earlier quoted context omitted.

Excuse me, this is stupid question. but can't you buy Freestyle Libre?

Yes, but need a prescription.

wow... I am sorry. in my country the condition is reversed. it cheaper than prescription version, so I ask it. good luck bro.

Re: FDA clears first over-the-counter continuous glucose monitor

#372

Earlier quoted context omitted.

The unnecessary interventions are done by licensed doctors? Why?

You don't know if it's a false positive or not until you do further interventions. Realizing it's unnecessary is only evident in hindsight. E.g. CT scan shows an incidental, tiny lung nodule. You do a biopsy. Unfortunately, during the process of getting a biopsy, you develop a pneumothorax (an uncommon but well-known complication of a lung biopsy) and need a chest tube, hospitalization, etc. You get discharged and yo…

Agreed. Thanks for the perspective. Never considered downsides of such interventions (as I have been mostly a lab rat for doctors but never experienced things like that, but it's understandable).

Re: FDA clears first over-the-counter continuous glucose monitor

#373
post #359

Earlier quoted context omitted.

Yes, but need a prescription.

wow... I am sorry. in my country the condition is reversed. it cheaper than prescription version, so I ask it. good luck bro.

Which county is that please? If you don’t mind sharing.

Re: FDA clears first over-the-counter continuous glucose monitor

#374
post #310

Earlier quoted context omitted.

I'm not even diabetic but they always pre-check your blood during blood / plasma donating. I would say it doesn't even register as a pinprick and feels more like the percussive slap of a tiny elastic band.

Ha, I would say quite the opposite, that the finger prick is my least favourite part of giving blood— it's ironic that taking a few drops could be that much worse than the big honking needle which draws an entire pint, but I guess fingertips just have a lot of nerve endings.

[deleted]

Re: FDA clears first over-the-counter continuous glucose monitor

#375

Earlier quoted context omitted.

wow... I am sorry. in my country the condition is reversed. it cheaper than prescription version, so I ask it. good luck bro.

Which county is that please? If you don’t mind sharing.

You can buy them OTC in most of western Europe.

Re: FDA clears first over-the-counter continuous glucose monitor

#376
post #194

Earlier quoted context omitted.

The other insane thing is studies have shown that type 2 diabetes can be reversed by fasting. Fasting is problematic to the medical industry because it is zero cost. "Some studies found that patients were able to reverse their need for insulin therapy during therapeutic intermittent fasting protocols with supervision by their physician." https://clindiabetesendo.biomedcentral.com/articles/10.1186/...

to be clear this isn't reversing T2 diabetes. Rather, it allows you to manage it. But the physical damage causing T2 diabetes generally remains

The American diabetes association admitted last year that T2 can be "reversed" with the caveat that you mentioned about existing damage. However, to actually damage things to a level where they are noticeable takes years and years. If you catch it early, T2 is entirely "reversible".

Re: FDA clears first over-the-counter continuous glucose monitor

#377
post #3

I'm T1D (insulin-dependent). I used a Dexcom for a couple years a while ago, back around the G3 through G5 era or so. I ended up stopping using it because my diabetes is very well managed, and I found it didn't make a huge difference to my management. With my insurance, each new sensor every week cost about $50, and would fail in various annoying ways: sometimes it would just stop working in the middle of the week, o…

I'm really intrigued by your statement that your diabetes is well managed, if I wake up in the wrong side of the bed, my insulin resistance change! Wondering how you can maintain that, do you have a very rigid routine and meal plan? I'm using Libre2 as part of my prescription and it has been working wonders by alerting early on before it is too low or too high to have enough time for a correction dose, or a small bit…

Hm, I'm not sure. I don't talk with other diabetics much so I guess I don't know what other's experiences are like. I go to sleep and wake up on the same schedule every day including weekends. My eating is not rigid, but does tend to be consistent just because my daily routine is consistent. I'm not "low carb" or anything, but I do follow a healthy-ish diet and avoid hyper sugary foods (soda, coffee milkshakes, sugary cereals) like the plague. Diabetes or not, no one should be eating that stuff :)

I do miss having the moment-to-moment trajectory information. Knowing whether I'm still going up 90 minutes after a meal was valuable. But I find I'm able to feel when I'm above 200 mg/dL, so can just correct by feel most of the time.

Re: FDA clears first over-the-counter continuous glucose monitor

#378

Earlier quoted context omitted.

Do you mean that they need to be cold when they are consumed, or is it the process of freezing itself that does something, even if it's later reheated?

The process of cooling down converts starches in rice, pasta, potatoes etc... to a more resistant forms that your body cannot process easily.

Does chilling also work to convert bread starches into resistant ones, or does it only work for rice and potatoes?

Re: FDA clears first over-the-counter continuous glucose monitor

#379
My 3 year old has type 1, and CGM has kept us out of the ER for surprise lows multiple times.

It also has informed family diet change, in the direction of keto practices, that has compressed the baseline to high delta for our son.

It's a relief to know that an OTC product exists as a backstop to our prescription CGMs.

Re: FDA clears first over-the-counter continuous glucose monitor

#380

Earlier quoted context omitted.

It's also rare for a doctor to tell a person they are too fat and to lose weight. The assumption (and most cost effective solution) is that patients just want a prescription for something and be sent on their way. US healthcare is crisis focused, not health focused.

> It's also rare for a doctor to tell a person they are too fat and to lose weight. Genuinely curious... have you ever been an obese person? Every fat person I've known have told me they're constantly shamed about being fat in medical settings, some to the point where they actively avoid going to a doctor anymore because they've given up on anything beyond being told they're fat.

I'd say I'm obese, and never heard a word about it. Even through covid. I have a friend who is a doctor who has been brutally honest with me (it's appreciated), but even though I've gone to many paid doctors in the northeast US, not a peep.

I don't want to confuse my experience with actual data. Also, I don't think it's shaming if it's a health issue and obesity should be recognized as such.

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